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Individual

MRS. LORA DENISE PAULUKONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 552-1180
Mailing address
4149 BEAR CREEK BLVD, BEAR CREEK TW, PA 18702-9749
(570) 472-0226
(570) 472-0226

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA050793
PA

Other

Enumeration date
05/16/2006
Last updated
04/12/2012
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